Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christine M. Moore, AA

Individual provider Anesthesiologist Assistant · NPI 1609102763

Christine M. Moore, AA is an Anesthesiology Assistant in Middleburg Heights, Ohio. Qualified in 2009, 17 years ago. Practices with Southwest General Medical Group Inc, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2009
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Practice location Address checks out

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone: (440) 816-6246
Fax: (440) 816-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67.000159 (OH)

Record details

NPI number1609102763
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedOctober 26, 2009
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing address18697 Bagley Rd, Middleburg Heights, OH 44130-3417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southwest General Medical Group Inc — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middleburg Heights